RT Book, Section
A1 Vrouwe, Sebastian Q.
A1 Shahrokhi, Shahriar
A2 Schmidt, Gregory A.
A2 Kress, John P.
A2 Douglas, Ivor S.
SR Print(0)
ID 1201811684
T1 Critical Care of the Burn Patient
T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5<sup>th</sup> Edition
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264264353
LK accesssurgery.mhmedical.com/content.aspx?aid=1201811684
RD 2024/10/03
AB KEY  POINTSSuccessful  management  of  a  patient  with  a  major  burn  requires  a  high-functioning  multidisciplinary  team.Burn  shock  is  observed  when  approximately  30%  total  body  surface  area  is  injured  and  is  characterized  by  increased  capillary  permeability,  dramatic  fluid  shifts,  and  cardiovascular  effects.  A  profound  and  sustained  hypermetabolic  response  develops  in  these  patients,  affecting  nearly  all  organ  systems.The  stabilization  of  a  major  burn  involves  a  primary  survey  to  rule  out  immediately  life-threatening  conditions,  followed  by  a  secondary  survey  where  other  injuries,  including  the  burn  wound  itself,  are  assessed.Formal  fluid  resuscitation  should  be  performed  for  burns  ≥20%  total  body  surface  area.  The  updated  “consensus  formula”  is  recommended  to  determine  a  starting  rate  for  intravenous  fluids.The  American  Burn  Association  referral  criteria  should  be  utilized  to  guide  the  triage  of  patients  with  burn  injuries.Inhalation  injury  is  confirmed  using  bronchoscopy,  and  its  treatment  is  largely  supportive.Critical  care  of  a  major  burn  has  significant  differences  from  other  patient  populations  in  terms  of  analgesia/sedation,  nutritional  supplementation,  recognition  of  sepsis,  and  perioperative  care.